Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Goose Creek › NPI 1508004268
Dental

Goose Creek Family Dentistry LLC

Goose Creek Family Dentistry LLC was paid $287K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.

33Billing provider infoGOOSE CREEK FAMILY DENTISTRY LLC
GOOSE CREEK, SC 29445
33aNPI1508004268assigned 02/03/2009
28Total paid$287K
24GClaims13,435
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#104 of 331
Median peer was paid$75K
This provider vs. median3.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018301$5K
2019884$16K
20202,157$50K
20213,670$90K
20222,823$61K
20231,660$29K
2024incomplete1,940$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 22% 1,416 1,416 $64K
D0220 Intraoral - periapical first radiographic image 15% 3,652 3,628 $43K
D0274 Bitewings - four radiographic images 14% 1,647 1,647 $41K
D0230 Intraoral - periapical each additional radiographic image 9.4% 2,813 2,686 $27K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9.0% 309 150 $26K
D0150 Comprehensive oral evaluation - new or established patient 8.9% 693 693 $25K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.1% 1,189 1,189 $23K
D1206 Topical application of fluoride varnish 6.5% 1,208 1,208 $19K
D0330 Panoramic radiographic image 5.1% 362 362 $15K
D1120 Dental cleaning, childProphylaxis - child 1.2% 104 104 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 17 13 $1K
D0140 Limited oral evaluation - problem focused <1% 12 12 $475.50
1 more codes
D0272 Bitewings - two radiographic images <1% 13 $246.22

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMILLER, MARSHALL (PARTNER)